Individual
MRS. MARY EVELYN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 BROOKE LEE CIR, TAYLORS, SC 29687-5955
(864) 525-0848
Mailing address
150 BROOKE LEE CIR, TAYLORS, SC 29687-5955
(864) 525-0848
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
4382
SC
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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